Proven Billing Habits That Boost Performance and Ensure Compliance
At Taylor Prime Solutions, we don’t just process claims—we follow a set of refined billing best practices that ensure accuracy, reduce denials, and improve cash flow for providers of ABA therapy, mental health, psychology, and substance use disorder (SUD).
Whether you’re outsourcing to us or building internal systems, these Taylor Prime Solutions best practices guide every claim we touch—and they’re the reason our clients see results quickly.
1. Taylor Prime Solutions Best Practices: Claims Go Out Within 24–48 Hours
Timely submission is everything. We submit clean claims within 1–2 business days of receiving documentation.
🧠 Why it matters:
Faster submission = faster payment. Plus, you avoid timely filing denials from Medicaid and commercial payers.
2. Taylor Prime Solutions Best Practices: Authorizations Are Verified Early and Rechecked Often
We track all authorizations in a calendar and set alerts before they expire.
🧠 Why it matters:
Missing an auth = complete claim denial. We prevent this by proactively managing all timelines.
3. ERA/EFT Enrollment Is Done Up Front
We ensure that your practice is enrolled with all payers to receive:
-
ERAs (Electronic Remittance Advice)
-
EFTs (Electronic Funds Transfers)
🧠 Why it matters:
Faster payments and cleaner reconciliation processes. Less paper, fewer delays.
4. Taylor Prime Solutions Best Practices: Every Claim Is Scrubbed for Modifiers and Coding Accuracy
We follow strict internal checks for:
-
Correct CPT/HCPCS codes
-
Proper use of behavioral health modifiers (e.g., HO, 95, H0032)
-
Session duration and documentation match
🧠 Why it matters:
Modifier or code errors are the #1 reason for rejections in ABA and therapy billing.
5. Weekly Reports Are Sent — Even If You Don’t Ask
Every provider receives:
-
Weekly claim status updates
-
Monthly AR aging reports
-
Denial and appeal summaries (on request)
🧠 Why it matters:
You stay informed without having to follow up. It’s part of our transparency promise.
6. Denials Are Reviewed and Appealed — Not Ignored
We don’t “wait for you to ask.” If a claim is denied:
-
We research the reason
-
We correct or appeal it
-
We track all outcomes
🧠 Why it matters:
Lost claims = lost revenue. Our team reclaims dollars that others might miss.
7. Communication Is Timely and Centralized
Each client has a direct contact — no generic inboxes.
We offer communication via:
-
Email
-
Phone
-
Microsoft Teams (optional shared channel)
-
Client portal (on request)
🧠 Why it matters:
We don’t leave you guessing. You always know who to talk to.
8. Ongoing Training Is Built In
From onboarding to ongoing updates, our team receives continuous training in:
-
Payer changes
-
Coding updates
-
State-specific rules (like Maryland Medicaid MCOs)
🧠 Why it matters:
Billing rules change constantly. We stay ready — so you don’t have to.
Why These Best Practices Work
These are more than “nice-to-haves” — they’re part of what makes Taylor Prime Solutions different from other billing companies.
Our best practices lead to:
-
💸 Faster payments
-
📉 Fewer denials
-
📊 Cleaner reporting
-
🔒 Greater compliance
-
🤝 Better provider satisfaction
Let Taylor Prime Solutions Apply These Best Practices to Your Billing
📞 Call 844-TAYLOR-9 or reach out here to partner with a team that doesn’t guess — we follow what works.
Taylor Prime Solutions’ best practices are the engine behind your next level of billing performance.